go back

Arizona rates for HCPCS 96567

Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $117.49 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $234.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $125.89 / $177.83